Comparison of the Effectiveness of Self-Care Group Training And Group-Based Acceptance and Commitment Therapy on The Quality of Life and Psychological Well-Being of Patients with Type 2 Diabetes
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Background: Diabetes mellitus (DM) is one of the most common weakening and chronic metabolic disorders. The present study was conducted to compare the effectiveness of
self-care group training and acceptance and commitment therapy (ACT) on psychological well-being and quality of life (QOL) of patients with type 2 diabetes (T2D).
Methods: The present study was an applied and quasi-experimental study with a pretest-posttest design, a control group, and follow-up. The statistical population consisted of patients with T2D referring to medical centers in Kish Island, Iran, in 2019. The sample consisted of 60 patients with T2D who were selected using convenience sampling and were divided into the self-care needs training (n = 20), ACT (n = 20), and control groups (n = 20) using simple randomization method. The groups completed the World Health Organization Quality-of-Life Scale (WHOQOL-BREF) and Ryff's Scales of Psychological Well-being (SPWB). Data were analyzed using repeated measures analysis of variance (ANOVA) in SPSS software.
Results: The findings showed that ACT and self-care needs training lead to improved QOL and psychological well-being of patients with T2D. The results showed that ACT has a greater efficacy than self-care needs training in improving psychological well-being and QOL in patients with T2D (P < 0.01).
Conclusion: It can be concluded that ACT has a higher impact than self-care group training on QOL and psychological well-being of patients with T2D.
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Abd Elalem, S., Shehata, O., & Shattla, S. (2018). The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients. Clin. Nurs. Stud., 6(2), 79-90.
Ajmera, P., & Jain, D. V. (2019). Modeling the factors affecting the quality of life in diabetic patients in India using total interpretive structural modeling. Benchmarking: An International Journal, 26(3), 951-970.
American Diabetes Association. (2015). Standards of medical care in diabetes-2015 abridged for primary care providers. Clin Diabetes, 33(2), 97-111. doi:10.2337/diaclin.33.2.97 [doi];97 [pii]. Retrieved from PM:25897193
Asghari, F., Saadat, S., Atefi Karajvandani, S., & Janalizadeh Kokaneh, S. (2014). The Relationship between Academic Self-Efficacy and Psychological Well-Being, Family Cohesion, and Spiritual Health Among Students of Kharazmi University. Iran J Med Educ, 14(7), 581-593. Retrieved from http://ijme.mui.ac.ir/article-1-3250-en.html
Baraz, S., Zarea, K., & Shahbazian, H. B. (2017). Impact of the self-care education program on quality of life in patients with type II diabetes. Diabetes Metab.Syndr., 11 Suppl 2, S1065-S1068. doi:S1871-4021(17)30258-8 [pii];10.1016/j.dsx.2017.07.043 [doi]. Retrieved from PM:28803720
Batink, T., Bakker, J., Vaessen, T., Kasanova, Z., Collip, D., van, O. J. et al. (2016). Acceptance and Commitment Therapy in Daily Life Training: A Feasibility Study of an mHealth Intervention. JMIR.Mhealth.Uhealth., 4(3), e103. doi:v4i3e103 [pii];10.2196/mhealth.5437 [doi]. Retrieved from PM:27634747
Bayani, A. A., Goudarzi, H., Bayani, A., & Kouchaki, A. M. (2008). The relationship between the religious orientation and anxiety and depression of university students. J Fundam Ment Health, 10(3), 209-214.
Butler, L. D., Carello, J., & Maguin, E. (2017). Trauma, stress, and self-care in clinical training: Predictors of burnout, decline in health status, secondary traumatic stress symptoms, and compassion satisfaction. Psychol Trauma., 9(4), 416-424. doi:2016-43766-001 [pii];10.1037/tra0000187 [doi]. Retrieved from PM:27617660
Dindo, L., Van Liew, J. R., & Arch, J. J. (2017). Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. Neurotherapeutics., 14(3), 546-553. doi:10.1007/s13311-017-0521-3 [doi];10.1007/s13311-017-0521-3 [pii]. Retrieved from PM:28271287
Dinis, A., Carvalho, S., Gouveia, J. P., & Estanqueiro, C. (2015). Shame memories and depression symptoms: The role of cognitive fusion and experiential avoidance. International Journal of Psychology & Psychological Therapy, 15(1), 63-86.
Dumuid, D., Olds, T., Lewis, L. K., Martin-Fernandez, J. A., Katzmarzyk, P. T., Barreira, T. et al. (2017). Health-Related Quality of Life and Lifestyle Behavior Clusters in School-Aged Children from 12 Countries. J Pediatr., 183, 178-183. doi:S0022-3476(16)31543-8 [pii];10.1016/j.jpeds.2016.12.048 [doi]. Retrieved from PM:28081885
Ebrahimpour, G., Mirzaian, B., & Hasanzadeh, R. (2019). Effectiveness of acceptance and commitment therapy on psychological well-being, quality of life and depression in patients with epilepsy. J Shahid Sadoughi Univ Med Sci, 27(2), 1262-1279.
Ferrari, M., Dal Cin, M., & Steele, M. (2017). Self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabet.Med, 34(11), 1546-1553. doi:10.1111/dme.13451 [doi]. Retrieved from PM:28799282
Gillanders, D. T., Sinclair, A. K., MacLean, M., & Jardine, K. (2015). Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer. J Contextual Behav Sci, 4(4), 300-311.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behav Res.Ther, 44(1), 1-25. doi:S0005-7967(05)00214-7 [pii];10.1016/j.brat.2005.06.006 [doi]. Retrieved from PM:16300724
Hendrix, C. C., Bailey, D. E., Steinhauser, K. E., Olsen, M. K., Stechuchak, K. M., Lowman, S. G. et al. (2016). Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being. Support Care Cancer, 24(1), 327-336. doi:10.1007/s00520-015-2797-3 [doi];10.1007/s00520-015-2797-3 [pii]. Retrieved from PM:26062925
Jennings, T. Flaxman, P., Egdell, K., Pestell, S., Whipday, E., & lison Herbert. (2017). A resilience training programme to improve nurses' mental health. Nursing Times, 113(10), 22-26.
Kim, H., Woo, E., & Uysal, M. (2015). Tourism experience and quality of life among elderly tourists. Tourism Management, 46, 465-476.
Lin, E. H., Katon, W., Rutter, C., Simon, G. E., Ludman, E. J., Von, K. M. et al. (2006). Effects of enhanced depression treatment on diabetes self-care. Ann.Fam.Med, 4(1), 46-53. doi:4/1/46 [pii];10.1370/afm.423 [doi]. Retrieved from PM:16449396
Lin, J., Luking, M., Ebert, D. D., Buhrman, M., Andersson, G., & Baumeister, H. (2015). Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a three-armed randomised controlled trial. Internet Interv, 2(1), 7-16.
Mahdi, H., Maddah, S., & Mohammadi, F. (2016). The effectiveness of self-care training on quality of life among elderlies with diabetes. Iranian Journal of Rehabilitation Research in Nursing, 2(4), 32-39.
Marso, S. P., Daniels, G. H., Brown-Frandsen, K., Kristensen, P., Mann, J. F., Nauck, M. A. et al. (2016). Liraglutide and cardiovascular outcomes in type 2 diabetes. N Engl J Med, 375(4), 311-322. doi:10.1056/NEJMoa1603827 [doi]. Retrieved from PM:27295427
Mattila, E., Lappalainen, R., Valkkynen, P., Sairanen, E., Lappalainen, P., Karhunen, L. et al. (2016). Usage and dose response of a mobile acceptance and commitment therapy app: Secondary analysis of the intervention arm of a randomized controlled trial. JMIR.Mhealth.Uhealth., 4(3), e90. doi:v4i3e90 [pii];10.2196/mhealth.5241 [doi]. Retrieved from PM:27468653
Nejat, S., Montazeri, A., Holakouie Naieni, K., Mohammad, K., & Majdzadeh, S. R. (2006). The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res, 4(4), 1-12.
Pinto, A., Faiz, O., Davis, R., Almoudaris, A., & Vincent, C. (2016). Surgical complications and their impact on patients’ psychosocial well-being: a systematic review and meta-analysis. BMJ Open, 6(2), e007224.
Pourkazem, F., & Eshghi Nogourani, R. (2018). The effectiveness of treatment based on acceptance and commitment to improving psychological well-being of transsexual individuals Esfahan. Shenakht, 5(1), 29-41.
Ryff, C. D. (1989). In the eye of the beholder: Views of psychological well-being among middle-aged and older adults. Psychol Aging., 4(2), 195-201. doi:10.1037//0882-7974.4.2.195 [doi]. Retrieved from PM:2789747
Ryff, C. D. (1995). Psychological well-being in adult life. Current Directions in Psychological Science, 4(4), 99-104. doi:doi:10.1111/1467-8721.ep10772395.
Shapiro SL, & Brown KW. (2007). Teaching Self-Care to Caregivers: Effects of Mindfulness-BasedStress Reduction on the Mental Health of Therapists in Training. Training and Education in Professional Psychology, 1(1), 105-115.
WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med, 28(3), 551-558. doi:10.1017/s0033291798006667 [doi]. Retrieved from PM:9626712
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